| Hy-vee Health Pc | |
|
3000 S Minnesota Ave Sioux Falls SD 57105-5647 | |
| (515) 225-2930 | |
| (515) 559-2495 |
| Full Name | Hy-vee Health Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 3000 S Minnesota Ave, Sioux Falls, South Dakota |
| Authorized Official Name and Position | Daniel S Fick (CMO) |
| Authorized Official Contact | 5152214663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hy-vee Health Pc 5820 Westown Pkwy West Des Moines IA 50266-8223 Ph: () - | Hy-vee Health Pc 3000 S Minnesota Ave Sioux Falls SD 57105-5647 Ph: (515) 225-2930 |
| NPI Number | 1588419881 |
|---|---|
| Provider Enumeration Date | 04/19/2024 |
| Last Update Date | 04/19/2024 |
| Medicare PECOS PAC ID | 1254701618 |
|---|---|
| Medicare Enrollment ID | O20240605003773 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588419881 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Kristin Sousek |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1508941956 PECOS PAC ID: 1254312796 Enrollment ID: I20040528001015 |
| Provider Name | Danielle Terese Miller |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1215277306 PECOS PAC ID: 9133182181 Enrollment ID: I20041110000530 |
| Provider Name | Daniel Fick |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1457347049 PECOS PAC ID: 3779662168 Enrollment ID: I20240605003823 |
| Provider Name | Alyssa Rae Burnison |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1245063700 PECOS PAC ID: 8628501913 Enrollment ID: I20241024003093 |
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